Provider Demographics
NPI:1922638428
Name:ARGYLE, JON
Entity Type:Individual
Prefix:
First Name:JON
Middle Name:
Last Name:ARGYLE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 WINDMILL CT
Mailing Address - Street 2:
Mailing Address - City:KAYSVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84037-4209
Mailing Address - Country:US
Mailing Address - Phone:801-910-3700
Mailing Address - Fax:
Practice Address - Street 1:210 WINDMILL CT
Practice Address - Street 2:
Practice Address - City:KAYSVILLE
Practice Address - State:UT
Practice Address - Zip Code:84037-4209
Practice Address - Country:US
Practice Address - Phone:801-910-3700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-23
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty